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Rates of health insurance coverage in US border counties are considerably lower than they are in any US state 5,6and the shortage wex health care professionals is severe 7. Questions to obtain demographic information were also included.
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Methods Site selection Mwtamoros protocol development We chose Cameron County, Texas with the cities of Brownsville and Harlingenand Matamoros, Tamaulipas, Mexico, as the paired site for this demonstration project because their population size was average among the sister communitiesfor Cameron County andfor Matamoros, in 19,20 and because of local interest in the project.
Elizabeths Hospital, in Washington.
E-mail: ezm5 cdc. MMWR ;55 9 All women who delivered a live infant on these days were sampled. The opportunity to use the system in other border communities has not occurred, so its generalizability remains untested.
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Homeland Security secretary, undercutting her public statements at the time that they were welcome to do so. Areas not evaluated Some characteristics of the surveillance system could not be assessed.
Study population coverage among hospitals ranged from To obtain additional information about these and other attributes and feedback from community and government stakeholders about potential usefulness of the data collected, a contracting agency conducted confidential stakeholder interviews during and after the completion of data collection.
Review of Texas birth records and discussions with health officials in Matamoros showed that most births in the Texas-Tamaulipas border region were occurring in hospitals, indicating that hospital-based sampling and postpartum interviews conducted in hospitals would yield data representative of mothers and infants in these communities.
We estimated population coverage using vital records data. Hospital participation To maximize hospital participation and to reduce the burden of data collection on hospital staff, we consulted with hospital administrators and nurses early in the process of protocol development and developed procedures to communicate regularly and to identify potential problems at their onset.
Department of Eex.
Atlanta GA : U. Proceeding of the International Conference on Survey Nonresponse. Sexually transmitted disease surveillance, Anderson JB, Gerber J.
Accessed February 4, Texas Department of State Health Services staff are pocals the data file for public use, and USMBHA, with assistance from collaborating health institutions, will maintain the data and oversee their release for additional analysis. In: Armitage P, Colton T, editors.
Officers at the Tecate, California, crossing questioned the legality of the order and refused to participate. Lack of privacy during interviews meant that the most sensitive topic, Matsmoros violence, had to be avoided.
Oversampling of some segments of the population eg, adolescent mothers or some adverse outcomes eg, preterm birth should be considered. Programa sectorial de salud New York NY : Synergos; Updated guidelines for evaluating public health surveillance systems: recommendations from the Guidelines Working Group. Cameron Sdx profile.
Early hospital concerns Matamoroos demands on staff time, possible patient resistance, and confidentiality were addressed through communication and partnership development. Department of Health and Human Services; We met annually from through with community stakeholders to discuss progress with protocol development, solicit feedback, and plan next steps.
Continuing federal support for surveys like the BMSCP is not likely, Wife swapping in Winton CA local health agencies may find ways to share or reduce the direct costs eg, by having student nurses conduct interviews. At the time, CBP was turning away people at official crossings, though Nielsen disputed xex reports.
Population dynamics of the US-Mexican border region. Measuring the utility of the data that was collected is premature. Questions about race and ethnicity were not answered by substantial proportions of Matamoros respondents, perhaps because these concepts are not relevant on the Mexican side of the border. Additional data collection forms developed for data and project management purposes are described in Table 2.
Population coverage Localls assessed the degree of noncoverage attributable to 1 the omission of women from the target population who delivered live infants during the study period in hospitals not included in the study and 2 the failure to identify women in the study population who delivered live infants in the study hospitals during the sample days.
In each community, we conducted 2 focus groups among currently or recently pregnant adolescents and 2 among adult women to assess respondent ability and willingness to answer questions on the selected topics, familiarity with topic-specific terms, and views on interviews in hospital settings.
This data collection system may become even faster as methods become established and as parallel evaluation steps become unnecessary.